RENUKA JACKSON

FORT MYERS, FL
NPI1093330714
Professional NameRENUKA PUNWASI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  11007300)
Enumeration Date2020-06-09
Last Update Date2020-06-09
Business Address
RENUKA JACKSON
6150 DIAMOND CENTRE CT UNIT 100
FORT MYERS, FL 33912-4367
Phone number: 239-561-9191
Mailing Address
RENUKA JACKSON
6150 DIAMOND CENTRE CT UNIT 100
FORT MYERS, FL 33912-4367
Phone number: 239-561-9191
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